重症监护室病人的口腔保健。

Larissa Chiozini Bittencourt, V. Modesto dos Santos
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引用次数: 0

摘要

导言:口腔卫生被认为是保护人们健康和幸福的基本需要,对于接受重症监护的患者而言,口腔卫生更为重要。目的:简要回顾有关训练有素的专业团队在对重症监护病房的患者进行口腔护理时发挥有效作用的文献。方法:科学综述文章,信息来源于 2004 年至 2024 年间发表在 PubMed 数据库中的最新文献,包括系统综述、荟萃分析和与口腔护理程序有关的综述研究,以及它们与有感染风险的重症患者的治疗效果之间的关系。结果:共分析了 28 篇文章,涉及各大洲需要机械通气、肠内或肠外喂养或某些侵入性手术的儿童或成人患者的数据,这些患者容易发生医院感染,主要是肺炎。所查阅的文献中最常见的情况是,自主能力非常有限的患者在住院期间缺乏或没有足够的口腔专业护理。结论:总体而言,医院团队中的牙科专家除了要亲自为护士及其助理提供服务培训外,还需要为患者提供正确的日常口腔卫生护理方法,以改善患者的总体健康状况,避免住院期间病情恶化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ORAL HEALTH CARE IN PATIENTS OF THE INTENSIVE CARE UNITS.
Introduction: oral hygiene is considered a basic need to protect the health and well-being of the population, with more emphasis for patients under intensive care support. Objective: shortly review the literature about effective role of well-trained professional teams while performing oral care in patients managed in the Intensive Care Unity. Methods: scientific review article, taking as a source of information the current literature published in the PubMed database between 2004 and 2024 including, systematic reviews, meta-analysis, and review studies related with the buccal care procedures, and their relationships with the outcomes of critical ill patients under the infection risks. Results: 28 articles were analyzed, with data of children or adult patients of diverse continents who needed mechanical ventilation, enteral or parenteral feeding, or some invasive procedure favoring the hospital acquired infections, mainly the pneumonias. The reviewed literature most frequently described the lack or insufficient specialized care for the oral cavity of patient with very limited autonomy during hospitalizations. Conclusion: as a whole, there is a need for the dental specialists in the hospital team to personally perform, besides to train in service the nurse staffs and their assistants to carry on the correct methods for the patient daily buccal hygiene, with improvement of general health care and avoiding the worsening during the hospitalization period.
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